{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:24:28Z","timestamp":1787765068517,"version":"build-2784847793"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Ischemic necrosis of the bulbar urethra in a patient with pelvic fracture urethral injury without a prior history of surgical intervention is extremely rare and results in long-segment obliterative strictures that are difficult to manage. Instead of the more traditional approach of vascular reconstruction followed by transpubic end-to-end urethroplasty, these patients are better managed by up-front urethroplasty with a tubed flap or as a staged procedure with grafting and tubularization. Herein, we report a case of primary bulbar urethral ischemic necrosis due to pelvic fracture managed with tubularized preputial flap (McAninch flap) urethroplasty.<\/jats:p>","DOI":"10.4103\/iju.iju_329_23","type":"journal-article","created":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T07:00:55Z","timestamp":1703833255000},"page":"62-64","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["\u201cPrimary\u201d bulbar urethral ischemic necrosis following pelvic fracture urethral injury: A rare surgical challenge"],"prefix":"10.4103","volume":"40","author":[{"given":"Preet Mohan","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Urology and Renal Transplant, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhavya","family":"Krishna","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siddharth","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Urology and Renal Transplant, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,12,29]]},"reference":[{"key":"R1-20240903","doi-asserted-by":"crossref","first-page":"22","DOI":"10.20517\/2347-9264.2021.98","article-title":"Flaps for bulbar urethral ischemic necrosis in pelvic fracture urethral injury","volume":"9","author":"Joshi","year":"2022","journal-title":"Plast Aesthet Res"},{"key":"R2-20240903","doi-asserted-by":"crossref","first-page":"3027","DOI":"10.1007\/s00345-019-02918-0","article-title":"Management of pelvic fracture urethral injuries in the developing world","volume":"38","author":"Joshi","year":"2020","journal-title":"World J Urol"},{"key":"R3-20240903","doi-asserted-by":"crossref","first-page":"2089","DOI":"10.1007\/s00345-020-03400-y","article-title":"Patient-reported outcomes for typical single cheek harvesting versus atypical lingual, labial or bilateral cheeks harvesting: A single-center analysis of more than 800 patients","volume":"39","author":"Barbagli","year":"2021","journal-title":"World J Urol"},{"key":"R4-20240903","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1055\/s-0036-1571355","article-title":"Microsurgical urethroplasty for complex bulbar urethral strictures using the radial forearm free flap prelaminated with buccal mucosa","volume":"32","author":"Chauhan","year":"2016","journal-title":"J Reconstr Microsurg"},{"key":"R5-20240903","first-page":"490518","article-title":"Prelaminated gracilis flap with buccal mucosal graft for salvage of devastated urethra","author":"Nikolavsky","year":"2015","journal-title":"Case Rep Urol 2015"}],"container-title":["Indian Journal of Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/iju.iju_329_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:58:34Z","timestamp":1787763514000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/iju.iju_329_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,29]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/iju.iju_329_23","relation":{},"ISSN":["0970-1591","1998-3824"],"issn-type":[{"value":"0970-1591","type":"print"},{"value":"1998-3824","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,29]]},"assertion":[{"value":"2023-08-27","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-23","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}